Implementation of a Statewide Program to Promote Safe Sleep, Breastfeeding and Tobacco Cessation to High Risk Pregnant Women

Ahlers-Schmidt, Carolyn R.; Schunn, Christy; Engel, Matthew; Dowling, Jolynn; Neufeld, Kim; Kuhlmann, Stephanie

doi:10.1007/s10900-018-0571-4

Cited by 15 publications

(18 citation statements)

References 15 publications

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“…Despite demographic differences in attendees, both event formats were successful at promoting the AAP Safe Sleep Recommendations, with participants showing significant increases regarding intentions to use safe sleep practices following the baby showers. Postevent rates reflected those from previously published studies [7][8][9]. Similarly, positive improvements were observed within events for tobacco cessation/avoidance items, though self-reported tobacco use was significantly higher for in-person participants.…”

Section: Impact Of Virtual Formatsupporting

confidence: 79%

“…This study is limited as events took place in rural counties in a Midwest state and may not be generalizable to urban areas or other regions. These rural communities had been engaged in safe sleep promotion through the Safe Sleep Instructor [ 8 , 11 ] project over a number of years, which may have impacted baseline data and openness to safe sleep education. The proportions of participants by county differed between in-person and virtual formats, which may have contributed to demographic differences.…”

Section: Discussionmentioning

confidence: 99%

“…The Kansas Infant Death and SIDS (KIDS) Network has created a statewide infrastructure of certified safe sleep instructors [ 8 , 11 ] who facilitate in-person Safe Sleep Community Baby Showers. With the support of the KIDS Network, safe sleep instructors in four rural counties (Geary, Cloud, Harvey, and Shawnee) held virtual Safe Sleep Community Baby Showers in 2020.…”

Section: Methodsmentioning

confidence: 99%

“…Sleep-related infant deaths, including sudden infant death syndrome (SIDS), accidental suffocation or strangulation in bed, and other undetermined deaths, are the primary cause of death for infants from 28 days to 1 year of life despite risk reduction strategies promoted by the American Academy of Pediatrics (AAP; eg, supine position) [6]. Programs such as Safe Sleep Community Baby Showers [7][8][9] are a recognized strategy to promote infant safe sleep [10] where women and their support persons are brought together at a community venue to celebrate their pregnancy and receive education. Topics address risk reduction strategies to prevent sleep-related infant deaths, including safe sleep position and surface, breastfeeding, and tobacco-free environments.…”

Section: Introductionmentioning

confidence: 99%

“…Topics address risk reduction strategies to prevent sleep-related infant deaths, including safe sleep position and surface, breastfeeding, and tobacco-free environments. Tools needed to create a safe sleep environment (eg, portable crib or wearable blanket) are often provided to attendees [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Promoting Safe Sleep, Tobacco Cessation, and Breastfeeding to Rural Women During the COVID-19 Pandemic: Quasi-Experimental Study

Ahlers-Schmidt¹,

Schunn²,

Hervey³

et al. 2021

JMIR Pediatr Parent

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Background Safe Sleep Community Baby Showers address strategies to prevent sleep-related infant deaths. Due to the COVID-19 pandemic, these events transitioned from in-person to virtual. Objective This study describes outcomes of transitioning Safe Sleep Community Baby Showers to a virtual format and compares outcomes to previous in-person events. Methods Participants from four rural Kansas counties were emailed the presurvey, provided educational materials (videos, livestream, or digital documents), and completed a postsurvey. Those who completed both surveys received a portable crib and wearable blanket. Within-group comparisons were assessed between pre- and postsurveys; between-group comparisons (virtual vs in-person) were assessed by postsurveys. Results Based on data from 145 in-person and 74 virtual participants, virtual participants were more likely to be married (P<.001) and have private insurance (P<.001), and were less likely to report tobacco use (P<.001). Both event formats significantly increased knowledge and intentions regarding safe sleep and avoidance of secondhand smoke (all P≤.001). Breastfeeding intentions did not change. Differences were observed between in-person and virtual meetings regarding confidence in the ability to avoid secondhand smoke (in-person: 121/144, 84% vs virtual: 53/74, 72%; P=.03), intention to breastfeed ≥6 months (in-person: 79/128, 62% vs virtual: 52/66, 79%; P=.008), and confidence in the ability to breastfeed ≥6 months (in-person: 58/123, 47% vs virtual: 44/69, 64%; P=.02). Conclusions Although both event formats demonstrated increased knowledge/intentions to follow safe sleep recommendations, virtual events may further marginalize groups who are at high risk for poor birth outcomes. Strategies to increase technology access, recruit priority populations, and ensure disparities are not exacerbated will be critical for the implementation of future virtual events.

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Section: Impact Of Virtual Formatsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Promoting Safe Sleep, Tobacco Cessation, and Breastfeeding to Rural Women During the COVID-19 Pandemic: Quasi-Experimental Study

Ahlers-Schmidt¹,

Schunn²,

Hervey³

et al. 2021

JMIR Pediatr Parent

Self Cite

View full text Add to dashboard Cite

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A Behaviour Change Analysis of Safer Sleep Interventions for Infants at Risk of Sudden and Unexpected Death

Shiells,

Cann,

Pease

et al. 2024

Child Abuse Review

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Rates of sudden unexpected death in infancy have been found to occur disproportionately amongst families living in the most deprived neighbourhoods. This suggests that standard safer sleep messaging may not be effective for this population and that research is required to identify ways of working that are better associated with behavioural change in parents with children at increased risk of SUDI. In this study, we aimed to explore the behavioural change components and mechanisms of action of safer sleep interventions for families with children at increased risk of SUDI. We conducted an analysis of the literature on safer sleep interventions using the COM‐B model, Theoretical Domains Framework and Behavioural Change Technique Taxonomy. All interventions targeted parents' capability; 15 interventions targeted parents' opportunity; and six interventions targeted parents' motivation to engage in safer sleep practices. Nineteen behavioural change techniques were identified. The focus of practitioners may need to shift from solely the delivery of safer sleep information towards working with parents to understand their capability, opportunity and, in particular, motivation to engage in safer sleep practices, identified as being a key driver of behaviour in this population.

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Training medical students to teach safe infant sleep environments using pyramidal behavioral skills training

Mery

Vladescu

Day‐Watkins

et al. 2022

J of App Behav Analysis

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Medical personnel play a critical role in caregiver safe infant sleep education. However, training outcomes in the safe infant sleep training literature have been mixed. Promising approaches that warrant further investigation are the use of behavioral skills training and pyramidal training. The current study consisted of two experiments. Experiment 1 extended Carrow et al. (2020) and Vladescu et al. (2020) by teaching medical students safe infant sleep practices using behavioral skills training. Discriminated responding was examined across trained and untrained environmental arrangements using a multiple‐baseline design. All participants arranged safe sleep environments following behavioral skills training. In Experiment 2, we used pyramidal behavioral skills training to train medical students to teach others safe sleep practices. Results indicated high procedural integrity scores following training and generalization of skills.

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Implementation of a Statewide Program to Promote Safe Sleep, Breastfeeding and Tobacco Cessation to High Risk Pregnant Women

Cited by 15 publications

References 15 publications

Promoting Safe Sleep, Tobacco Cessation, and Breastfeeding to Rural Women During the COVID-19 Pandemic: Quasi-Experimental Study

Promoting Safe Sleep, Tobacco Cessation, and Breastfeeding to Rural Women During the COVID-19 Pandemic: Quasi-Experimental Study

A Behaviour Change Analysis of Safer Sleep Interventions for Infants at Risk of Sudden and Unexpected Death

Training medical students to teach safe infant sleep environments using pyramidal behavioral skills training

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